Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $93.33 / $288.40	Facility		$31.62	$93.33	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.72 / $53.70	Professional		$5.89	$10.72	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.31 / $8.91	Professional		$4.79	$6.31	$8.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $22.39 / $43.65	Facility		$7.59	$22.39	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.41 / $7.94	Professional		$6.76	$7.41	$7.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $7.24 / $7.94	Facility		$4.47	$7.24	$7.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.76 / $13.18	Professional		$5.75	$6.76	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.42 / $29.51	Professional		$15.14	$20.42	$29.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $97.72 / $281.84	Facility		$28.18	$97.72	$281.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.47 / $58.88	Professional		$6.03	$10.47	$58.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $17.78 / $25.70	Professional		$8.51	$17.78	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $117.49 / $190.55	Facility		$75.86	$117.49	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.23 / $18.62	Professional		$7.94	$10.23	$18.62